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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:

COPD Treatment Guidelines

Prescribing Steroids in Respiratory Conditions

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03.04.01  Expand sub section  Antihistamines
03.04.01  Expand sub section  Non-sedating antihistamines
Cetirizine
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First Choice
OTC

Self Care for minor self-limiting conditions and Hayfever

Licensed adult dose 10mg OD however doses up to four times a day on specialist advice may be recommended eg in complex urticaria

 
Loratadine
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First Choice
OTC

Self care for minor self-limiting conditions and Hayfever.

 
Fexofenadine
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Third Choice
Green 3

3rd line non-sedating option, particularly for urticaria. Prescribe generically.

 

 
   
03.04.01  Expand sub section  Sedating antihistamines
 ....
 Non Formulary Items
Acrivastine

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Non Formulary

Available to purchase over the counter (OTC) for self care

 
Bilastine  (Ilaxten)

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Non Formulary
 
Desloratadine  (Neoclarityn)

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Non Formulary

See Herefordshire LPT

 

 
Levocetirizine  (Xyzal)

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Non Formulary

See Herefordshire LPT

 

 
Mizolastine  (Mizollen®)

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Non Formulary
 
Rupatadine  (Rupafin)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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